Provider Demographics
NPI:1609609437
Name:SNEAD, ALLISON (HIS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SNEAD
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 LAWRENCEVILLE RD STE 225
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-6780
Mailing Address - Country:US
Mailing Address - Phone:678-225-8858
Mailing Address - Fax:888-965-6992
Practice Address - Street 1:4402 LAWRENCEVILLE RD STE 225
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-6780
Practice Address - Country:US
Practice Address - Phone:678-225-8858
Practice Address - Fax:888-965-6992
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADS001087237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist